Clinical Value of Diffusion Weighted Imaging in the Diagnosis of Placenta Increta_West China Medical Journal

Authors：

 DINGLi ¹ , KANGMin ¹ , SONGXiao ² , CHENRui ¹ , WANGShi-qi ¹ , CHENLai-wei ¹

1. Department of Radiology;Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan 610045, P. R. China;
2. Department of Obstetrics;Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan 610045, P. R. China;

Corresponding?author：

Keywords：

Placenta increta; Pregnancy; Magnetic resonance imaging, diffusion

DOI：

10.7507/1002-0179.20150260

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the value of diffusion weighted imaging (DWI) in the diagnosis of placenta increta. Methods The clinical data of 42 patients with placenta increta admitted to Sichuan Provincial Hospital for Women and Children between May 2012 and January 2014 were retrospectively analyzed. All the patients were examined by prenatal magnetic resonance scans and DWI scans for subsequent comparison between ADC of the local convex placental region and ADC of the normal placental region and between the results of the two imaging methods. Results ADC of the implantation area was significantly different from that of the normal placenta, so it could be used as a quantitative index. DWI had a higher sensitivity of diagnosis than conventional MRI. Conclusion Compared with conventional magnetic resonance imaging, DWI is more valuable in the clinical diagnosis of placenta increta, which provides a reliable basis for clinical treatment.

Citation： DINGLi, KANGMin, SONGXiao, CHENRui, WANGShi-qi, CHENLai-wei. Clinical Value of Diffusion Weighted Imaging in the Diagnosis of Placenta Increta. West China Medical Journal, 2015, 30(5): 915-918. doi: 10.7507/1002-0179.20150260 Copy

1.	王素華, 沙文瓊. 磁共振在診斷妊娠胎盤植入的臨床意義[J]. 廣西醫學, 2014, 36(1):122-123.
2.	官曉暉, 馬隆佰, 韓武. 胎盤植入的MRI診斷[J]. 中國CT和MRI雜志, 2014, 12(2):80-83.
3.	孟新月, 解麗梅. 超聲及MRI在胎盤植入診斷中的應用現狀及評價[J]. 中國介入影像與治療學, 2013, 10(7):438-441.
4.	黃蓓, 李映桃, 程澄, 等. 應用MRI診斷中央型前置胎盤合并胎盤植入的價值[J]. 廣州醫學院學報, 2013, 41(3):21-24, 27.
5.	石喻, 朱連成, 馬躍, 等. 磁共振成像對胎盤植入深度的診斷價值[J]. 山西醫藥雜志, 2012, 41(2):141-143.
6.	謝幸, 茍文麗. 婦產科學[M]. 北京:人民衛生出版社, 2013:126-129.
7.	Masselli G, Brunelli R, Parasassi T, et al. Magnetic resonance imaging of clinically stable late pregnancy bleeding:beyond ultrasound[J]. Eur Radiol, 2011, 21(9):1841-1849.
8.	張篤華, 袁金明華. 48例胎盤植入的臨床特征分析[J]. 醫學臨床研究, 2007, 24(5):853-855.
9.	蔣杰, 曲源, 夏迎洪, 等. 磁共振擴散成像的原理及應用[J]. 新疆醫學, 2011, 41(11):69-72.
10.	魯釗, 劉兆玉, 陳麗英, 等. MRI與經腹彩色多普勒超聲診斷前置胎盤價值的評價[J]. 中國臨床醫學影像雜志, 2012, 23(7):520-522.
11.	Balassy C, Kasprian G, Weber M, et al. Diffusion-weighted MR imaging of the normal fetal lung[J]. Eur Radiology, 2008,18:700-706.
12.	顏有霞, 蔡淑芳, 黃葵芳, 等. 早期胎盤植入的MRI表現[J]. 中國醫學影像學雜志, 2012, 20(6):421-423.
13.	Morita S, Ueno E, Fujimura M, et al. Feasibility of diffusion-weighted MRI for defining placental invasion[J]. J Magn Reson Imaging, 2009, 30(3):666-671.
14.	宋亭, 陳永露. MRI在產前診斷胎盤植入的應用價值[J]. 中華產科急救電子雜志, 2014, 3(1):8-12.
15.	Alamo L, Anaye A, Rey J, et al. Detection of suspected placental invasion by MRI:do the results depend on observer' experience?[J]. Eur J Radiol, 2013, 82(2):e51-e57.
16.	Deloison B, Millischer AE, Salomon LJ. Placental MRI:physiology and pathology[J]. Gynécol Obst Fertil, 2013, 41(6):394-403.
17.	Maher MA, Abdelaziz A, Bazeed MF. Diagnostic accuracy of ultrasound and MRI in the prenatal diagnosis of placenta accrete[J]. Acta Obstet Gynecol Scand, 2013, 92(9):1017-1022.
18.	Manganaro L, Fierro F, Tomei A, et al. MRI and DWI:feasibility of DWI and ADC maps in the evaluation of placental changes during gestation[J]. Prenat Diagn, 2010, 30(12/13):1178-1184.
19.	Javor D, Nasel C, Schweim T, et al. In vivo assessment of putative functional placental tissue volume in placental intrauterine growth restriction (IUGR) in human fetuses using diffusion tensor magnetic resonance imaging[J]. Placenta, 2013, 34(8):676-680.
20.	Derman AY, Nikac V, Haberman S, et al. MRI of placenta accreta:a new imaging perspective[J]. Am J Roentgenol, 2011, 197(6):1514-1521.

1. 王素華, 沙文瓊. 磁共振在診斷妊娠胎盤植入的臨床意義[J]. 廣西醫學, 2014, 36(1):122-123.
2. 官曉暉, 馬隆佰, 韓武. 胎盤植入的MRI診斷[J]. 中國CT和MRI雜志, 2014, 12(2):80-83.
3. 孟新月, 解麗梅. 超聲及MRI在胎盤植入診斷中的應用現狀及評價[J]. 中國介入影像與治療學, 2013, 10(7):438-441.
4. 黃蓓, 李映桃, 程澄, 等. 應用MRI診斷中央型前置胎盤合并胎盤植入的價值[J]. 廣州醫學院學報, 2013, 41(3):21-24, 27.
5. 石喻, 朱連成, 馬躍, 等. 磁共振成像對胎盤植入深度的診斷價值[J]. 山西醫藥雜志, 2012, 41(2):141-143.
6. 謝幸, 茍文麗. 婦產科學[M]. 北京:人民衛生出版社, 2013:126-129.
7. Masselli G, Brunelli R, Parasassi T, et al. Magnetic resonance imaging of clinically stable late pregnancy bleeding:beyond ultrasound[J]. Eur Radiol, 2011, 21(9):1841-1849.
8. 張篤華, 袁金明華. 48例胎盤植入的臨床特征分析[J]. 醫學臨床研究, 2007, 24(5):853-855.
9. 蔣杰, 曲源, 夏迎洪, 等. 磁共振擴散成像的原理及應用[J]. 新疆醫學, 2011, 41(11):69-72.
10. 魯釗, 劉兆玉, 陳麗英, 等. MRI與經腹彩色多普勒超聲診斷前置胎盤價值的評價[J]. 中國臨床醫學影像雜志, 2012, 23(7):520-522.
11. Balassy C, Kasprian G, Weber M, et al. Diffusion-weighted MR imaging of the normal fetal lung[J]. Eur Radiology, 2008,18:700-706.
12. 顏有霞, 蔡淑芳, 黃葵芳, 等. 早期胎盤植入的MRI表現[J]. 中國醫學影像學雜志, 2012, 20(6):421-423.
13. Morita S, Ueno E, Fujimura M, et al. Feasibility of diffusion-weighted MRI for defining placental invasion[J]. J Magn Reson Imaging, 2009, 30(3):666-671.
14. 宋亭, 陳永露. MRI在產前診斷胎盤植入的應用價值[J]. 中華產科急救電子雜志, 2014, 3(1):8-12.
15. Alamo L, Anaye A, Rey J, et al. Detection of suspected placental invasion by MRI:do the results depend on observer' experience?[J]. Eur J Radiol, 2013, 82(2):e51-e57.
16. Deloison B, Millischer AE, Salomon LJ. Placental MRI:physiology and pathology[J]. Gynécol Obst Fertil, 2013, 41(6):394-403.
17. Maher MA, Abdelaziz A, Bazeed MF. Diagnostic accuracy of ultrasound and MRI in the prenatal diagnosis of placenta accrete[J]. Acta Obstet Gynecol Scand, 2013, 92(9):1017-1022.
18. Manganaro L, Fierro F, Tomei A, et al. MRI and DWI:feasibility of DWI and ADC maps in the evaluation of placental changes during gestation[J]. Prenat Diagn, 2010, 30(12/13):1178-1184.
19. Javor D, Nasel C, Schweim T, et al. In vivo assessment of putative functional placental tissue volume in placental intrauterine growth restriction (IUGR) in human fetuses using diffusion tensor magnetic resonance imaging[J]. Placenta, 2013, 34(8):676-680.
20. Derman AY, Nikac V, Haberman S, et al. MRI of placenta accreta:a new imaging perspective[J]. Am J Roentgenol, 2011, 197(6):1514-1521.

West China Medical Journal

Clinical Value of Diffusion Weighted Imaging in the Diagnosis of Placenta Increta

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content